Individual
SONJA ANNE TENNYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 S 4TH ST, CUSTER, SD 57730-1916
(605) 440-1960
Mailing address
11983 MELLOW MEADOW PL, CUSTER, SD 57730-9212
(605) 440-1960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5121
SD
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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